| NPI | 1548955131 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: IN 27050659A) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: KY 27050659A) |
| 164W00000X Licensed Practical Nurse (Licence: IN 20750659A) | |
| Enumeration Date | 2023-04-10 |
| Last Update Date | 2023-04-10 |